Journal of pediatric nursing · 2025
How frequently do hospitalized children undergo painful procedures? A longitudinal study on the number of procedures and associated factors.
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de Souza Danton Matheus, Harrison Denise, Butrico Larissa Soares, Rossato Lisabelle Mariano
Аннотация
PURPOSE: To determine the number, type, and intensity of painful procedures, as well as the factors associated with the frequency of these procedures in hospitalized children over a six-hour period.
DESIGN AND METHODS: A longitudinal, prospective study conducted at a teaching hospital in São Paulo, Brazil, within a Pediatric Inpatient Unit, involving children aged 28 days to 10 years who were observed during a six-hour shift (morning or afternoon). Data collection was performed using simple random sampling, observing painful procedures and applying pain assessment scales. Descriptive and inferential analyses were applied to the data. National ethical principles were adhered.
RESULTS: Seventy-five children were observed with the prevalence of infants (75 %), with a total of 351 painful procedures recorded, ranging from one to 19 per child, with an average of four. The most painful procedures included airway suctioning, insertion of gastric, enteral, and urinary tubes, and capillary puncture. Factors associated with the number of painful procedures included the child's age, place of origin, level of dependency, cause of hospitalization, and use of invasive devices (p < 0.05).
CONCLUSIONS: A significant number of painful procedures were observed, categorized by pain scores, and associated with the child's age and severity.
PRACTICE IMPLICATIONS: It is hoped that this study will guide healthcare professional reflection on their practices, inform researchers to continue studies aiming to modify care, and help leaders see that pain is undoubtedly an issue that deserves attention.
DESIGN AND METHODS: A longitudinal, prospective study conducted at a teaching hospital in São Paulo, Brazil, within a Pediatric Inpatient Unit, involving children aged 28 days to 10 years who were observed during a six-hour shift (morning or afternoon). Data collection was performed using simple random sampling, observing painful procedures and applying pain assessment scales. Descriptive and inferential analyses were applied to the data. National ethical principles were adhered.
RESULTS: Seventy-five children were observed with the prevalence of infants (75 %), with a total of 351 painful procedures recorded, ranging from one to 19 per child, with an average of four. The most painful procedures included airway suctioning, insertion of gastric, enteral, and urinary tubes, and capillary puncture. Factors associated with the number of painful procedures included the child's age, place of origin, level of dependency, cause of hospitalization, and use of invasive devices (p < 0.05).
CONCLUSIONS: A significant number of painful procedures were observed, categorized by pain scores, and associated with the child's age and severity.
PRACTICE IMPLICATIONS: It is hoped that this study will guide healthcare professional reflection on their practices, inform researchers to continue studies aiming to modify care, and help leaders see that pain is undoubtedly an issue that deserves attention.